5 • Working with VIO 3 Subprograms, changing between subprograms Subprograms can only be created by authorized persons. Each program can have up to 6 subprograms. Different settings are saved in the subprograms of a program for the instruments. Settings may be e.g. mode, effect or assignment of a footswitch. Subprograms therefore offer you the possibility of switching settings of an instrument, without changing the mode, effect, footswitch assignment etc. on the touchscreen. Appearance of subprograms 3 1 2 Fig. 5-21 You see subprograms as tabs under the name of the program (3). Example: Subprogram monopolar (1) and bipolar (2). The tab of the active subprogram is highlighted with a bold border. Changing between subprograms Press the ReMode button of the footswitch. – Or – If the handpiece of the instrument has a ReMode button, press the ReMode button of the handpiece. – Or – An assistant can touch the tab of the subprogram on the touchscreen. 60 / 158 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Function of subprograms 5 • Working with VIO 3 Functions in the “Menu” screen Call up the User Manual 1. Call up the Menu with the Menu button. 2. Select the User Manual menu item in the left column. The VIO 3 User Manual is opened on the display. 1. Call up the Menu with the Menu button. 2. Select the Last messages menu item in the left column. The Last messages screen shows you the last messages VIO 3 has displayed. Changing system settings The Menu offers you the opportunity to change various system settings (e.g. Brightness, Volume, Start screen etc.). 1. Call up the Menu with the Menu button. 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Last messages called up Fig. 5-22 Note: You can change the global Volume and Brightness directly in the Menu. You will find detailed setting options for Volume or Brightness, as well as a series of further system parameters, under menu item Further settings. 2. Change the global Volume or Brightness using the appropriate controller. – Or – 3. Touch the Further settings button. 61 / 158 Fig. 5-23 The Further settings screen is displayed. 4. Scroll through the list, as required. 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 5 • Working with VIO 3 Fig. 5-24 The above figure shows the lower part of the list. 5. Select the setting you wish to change. A different setting screen opens depending on the setting selected. 6. Carry out the required setting. Note: The Protected settings at the end of the list are not accessible for the user. The Protected settings can be changed as you wish by an authorized person. 62 / 158 Fig. 5-25 WiFi function WiFi On / Of The WiFi function serves to connect the VIO 3 with a Windows PC or an iPad on which the Erbe Support App is installed. With the help of a WiFi connection, user programs can be replaced and service functions can be perceived by registered persons. You can switch the WiFi on and off in the Menu screen. If you switch on WiFi, a network name and password are displayed for you after a short time. 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 5 • Working with VIO 3 Connecting a Windows PC or iPad with VIO 3 1. Switch on the VIO 3 WiFi. 2. Display the network in the system settings of your unit. 3. Search for the name of the VIO 3 network. 4. Enter the VIO 3 password. Service functions Editing mode The service functions behind the Service menu item are only accessible for the service personnel. The editing mode is only accessible for the authorized persons. The editing mode is described in detailed in the chapter “Editing mode” (see page 67). 63 / 158 5 • Working with VIO 3 Overwriting a modified program or saving as a new program Fig. 5-26 You can overwrite a modified program or save it as a new program. Saving modified programs must be permitted in the Protected settings for this purpose. 1. Touch the screen title. If Saving modified programs is blocked, the Program list opens and the modified program is shown in the list with the supplement changed (without figure). You can return to the unmodified program or to the modified program. 64 / 158 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. If you have changed a program setting, the program name in the screen title is provided with the supplement changed. Fig. 5-27 If Saving modified programs is permitted, the Save settings? window opens. 2. Overwrite the existing program or save the modified program under a new name. Alternatively, you can reject the changes (= irrevocably deleted) or return to the modified program without action with the Back button. 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 5 • Working with VIO 3 65 / 158 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 5 • Working with VIO 3 66 / 158 6 • Editing mode Authorized persons The editing mode is only accessible for the authorized persons. The editing mode may only be used by competent persons who can precisely assess the impacts of the changes undertaken. Editing options The editing mode offers the following options: • Changing the unit name (in the Program group list screen title) • Renaming, adding or deleting program groups, programs, subprograms and instruments • Adding/changing pictograms in the Program group list and the Program list • Changing program settings, such as mode and effect, without the changes having to be saved separately. Note: In the editing mode, all changes are automatically accepted without a confirmation request. Changes can only be undone manually, e.g. by repeated entry of the previous names, values, etc. 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Chapter 6 Editing mode Renaming, adding and deleting elements Selecting the screen You can edit the following screens: • Program group list • Program list • Main screen Select the screen in which you wish to edit, e.g. Program list. Switch on editing mode Note: The unit cannot be activated in the editing mode. Note: The editing mode, once switched on, remains active until the editing mode or the unit is switched off. 67 / 158 6 • Editing mode Fig. 6-1 2. Slide the Editing mode switch to ON. The screen keyboard is displayed. You are requested to enter a password. 3. Enter the password on the screen keyboard and touch the Enter button. 4. Close the Menu. 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 1. Call up the Menu with the Menu button. Fig. 6-2 The screen is displayed from which you called up the menu. The “Editing functions” field appears on the left side of the screen. Using the arrow on the left side of the screen, you can show or hide the “Editing functions” field on the left side of the screen, as required. Selecting the editing function 68 / 158 Note: To add, delete or rename elements, there is a dedicated editing function. You can change program settings (e.g. mode and effect) without selecting an editing function. Fig. 6-3 In the “Editing functions” field you can select between the following editing functions: “Rename”, “Add”, and “Delete” (from top to bottom). Touch the required editing function (e.g. “Rename”). The selected function and the editable elements are color-marked. Performing change 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 6 • Editing mode Fig. 6-4 1. Touch the element you wish to edit (e.g. a program name). A different window is displayed depending on the element and editing mode. By touching the program name, the screen keyboard opens, for example. 2. Carry out the required change. The selected editing function is automatically ended after each change. For each further change you have to select the required editing function again. Switching off the editing mode 1. Call up the Menu with the Menu button. 2. Slide the Editing mode switch to OFF and close the Menu. Note: When you switch off the unit, the editing mode is automatically ended. 69 / 158 6 • Editing mode Creating a new program with two subprograms The following describes, by way of example, how you create a program with two subprograms for laparoscopy. Subprograms at a glance The tables show both subprograms created in the example. Subprogram 1 “monopolar” Instrument 1: monopolar scissors Instrument 2: bipolar coagulation forceps CUT mode dryCUT – CUT effect 4 – COAG mode swiftCOAG – COAG effect 5 – Assigned footswitch Two-pedal footswitch – Subprogram 2 “bipolar” Instrument 1: monopolar scissors Instrument 2: bipolar coagulation forceps CUT mode – – CUT effect – – COAG mode – softCOAG bipolar COAG effect – 5 Assigned footswitch – Two-pedal footswitch Switch on editing mode Switch on the editing mode in the Menu and close the Menu. Creating a new program 1. Call up the Program list to which you wish to add a new program. 2. In the “Editing function” field on the left side of the screen, select the “Add” editing function. 70 / 158 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. In the example described, it is assumed that no instruments and no return electrode are connected when editing. Fig. 6-5 3. Touch the plus button in the Program list. The screen keyboard is displayed. 4. Enter the required program name, e.g. “Laparoscopic procedure” on the screen keyboard. 5. Confirm the program name with the Enter button. Adding instruments 1. Select the new program Laparoscopic procedure. The Main screen is displayed. 2. Select the “Add” editing function. 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 6 • Editing mode Fig. 6-6 3. Touch the big plus button labeled Unknown. 4. Select the Monopolar instrument option. 5. Select the Scissors instrument and confirm the selection with the Close button. 6. Select the “Add” editing function. 7. Touch the big plus button labeled Unknown. 8. Select the Bipolar instrument option. 9. Select the Coagulation forceps instrument and confirm the selection with the Close button. 71 / 158 6 • Editing mode 1. Select the “Add” editing function. Fig. 6-7 2. Touch the New subprogram2 tab. 3. Enter the required subprogram name (e.g. “bipolar”) on the screen keyboard and touch the Enter button. 4. Select the “Rename” editing function. 5. Touch the New subprogram1 tab. 6. Enter the required subprogram name (e.g. “monopolar”) on the screen keyboard and touch the Enter button. Editing the monopolar subprogram 1. Select the tab of the monopolar subprogram. 2. Touch the symbol of the Monopolar scissors instrument. 3. Assign the scissors to the two-pedal footswitch by dragging the footswitch symbol from the “Activation type” field to the instrument. 4. Select the CUT mode dryCUT. 5. Set the CUT effect to 4. 6. Select the COAG mode swiftCOAG. 7. Set the COAG effect to 5. The Main screen now looks as follows: 72 / 158 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Creating subprograms Fig. 6-8 Editing the bipolar subprogram 1. Select the tab of the bipolar subprogram. 2. Touch the symbol of the Coagulation forceps instrument. 3. Assign the coagulation forceps to the two-pedal footswitch by dragging the footswitch symbol from the “Activation type” field to the instrument. 4. Select softCOAG bipolar as the COAG mode. 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 6 • Editing mode 5. Set the COAG effect to 5. The Main screen now looks as follows: Fig. 6-9 73 / 158 6 • Editing mode Switching off the editing mode Switch off the editing mode in the Menu. 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Note: When you switch off the unit, the editing mode is automatically ended. 74 / 158 7 • Description of receptacle hardware Individual socket configuration You can individually configure the sockets of your unit when ordering the unit. Purchasing further receptacles After purchase, it is possible to add further sockets or to replace existing sockets with others. Please contact Erbe Elektromedizin. You will find the addresses in this User Manual. Monopolar socket MO 3-pin; 9/5 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Chapter 7 Description of receptacle hardware Fig. 7-1 Erbe No. 20160-001 Connectors supported • 3-pin single use • 3-pin reusable • 9/5 Monopolar socket MO 3-pin; Bovie Fig. 7-2 Erbe No. 20160-002 Connectors supported • 3-pin single use • 3-pin reusable • Bovie jack 75 / 158 7 • Description of receptacle hardware Fig. 7-3 Erbe No. 20160-003 Connectors supported • 2-pin single use (22 or 28.5 mm pin distance) • 2-pin reusable (22 or 28.5 mm pin distance) • 8/4 Multifunction socket MF Fig. 7-4 Erbe No. 20160-004 Connectors supported • MF plug MF-U socket Fig. 7-5 Erbe No. 20160-005 Connectors supported • 3-pin single use • 3-pin reusable • 2-pin single use (22 or 28.5 mm pin distance) • 2-pin reusable (22 or 28.5 mm pin distance) • MF-2 • MF-U 76 / 158 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Bipolar socket BI 2-pin 22–28; 8/4 7 • Description of receptacle hardware Fig. 7-6 Function Connectors supported The receptacle is used to connect a neutral electrode. You can connect ONE of the following connectors as required: Erbe patient plate connector (Ø 6.35 mm); patient plate connector with 2 pins. The receptacle is equipped with a slide switch. Depending on the position of this switch, either a Ø 6.35 mm or a 2-pin connector is permitted (see the illustration above). 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. return electrode socket NE 6; 2-pin 77 / 158 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 7 • Description of receptacle hardware 78 / 158 8 • Monopolar CUT modes autoCUT Properties PPS (Power Peak System) Reproducible, smooth cuts, minimal to moderate hemostasis. The autoCUT mode is equipped with PPS. A special problem during incision may be posed by the initial incision phase, in particular when the cutting electrode is pressed firmly against the tissue to be cut, before activation of the HF generator. The cutting electrode therefore has a relatively extensive, low-resistance contact with the tissue, e.g. in TUR. In such cases, the HF generator must offer an above-average output so that the initial incision is not delayed, as otherwise an excessive coagulation necrosis may be produced at the point of initial incision. The VIO 3 is equipped with automatic power control (PPS). PPS detects low resistance loads and controls the HF generator such that it briefly provides sufficient output to ensure the HF voltage necessary or intensity of the electrical arc for the cutting quality selected even with low-resistance loads. 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Chapter 8 Monopolar CUT modes Thanks to PPS, the average output can be limited to relatively low levels, something which represents improved protection from unintentional thermal tissue damage. Areas of use Technical data All cutting procedures in electrically conductive tissue: e.g. muscle tissue and vascular tissue. Dissections and cutting of fine structures. Type of HF voltage Unmodulated sinusoidal AC voltage Nominal frequency 350 kHz (no load) ±10% Crest factor 1.62 (at RL = 300 Ohm) Designed load resistance 300 Ohm Max. HF peak voltage 750 V Number of effects 0.1 – 10.0 Consistency of effects Automatic control of HF peak voltage Max. output across the designed load resistor 400 watts 79 / 158 8 • Monopolar CUT modes Diagrams autoCUT 400 300 Eī 10 Eī 9.0 Eī 8.0 Power [W] 250 Eī 7.0 Eī 6.0 200 Eī 5.0 Eī 4.0 150 Eī 3.0 Eī 2.0 100 Eī 1.0 Eī 0.1 50 0 100,0 1000,0 Resistance [ohm] Fig. 8-1 800 350 700 300 600 250 500 200 400 150 300 100 200 50 100 0 0 0 1 2 3 4 5 Eīect Fig. 8-2 80 / 158 6 7 8 9 10 Peak Voltage [V] 400 80114-601 03.16 autoCUT Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 350 Power Upmax 8 • Monopolar CUT modes highCUT PPS (Power Peak System) Reproducible, smooth cuts, in particular in poorly conductive and varying tissue. The highCUT mode is equipped with PPS. A special problem during incision may be posed by the initial incision phase, in particular when the cutting electrode is pressed firmly against the tissue to be cut, before activation of the HF generator. The cutting electrode therefore has a relatively extensive, low-resistance contact with the tissue, e.g. in TUR. In such cases, the HF generator must offer an above-average output so that the initial incision is not delayed, as otherwise an excessive coagulation necrosis may be produced at the point of initial incision. The VIO 3 is equipped with automatic power control (PPS). PPS detects low resistance loads and controls the HF generator such that it briefly provides sufficient output to ensure the HF voltage necessary or intensity of the electrical arc for the cutting quality selected even with low-resistance loads. Thanks to PPS, the average output can be limited to relatively low levels, something which represents improved protection from unintentional thermal tissue damage. Areas of use Technical data 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Properties For example, for cutting fat-containing structures, cutting under water, e.g. with TURP. Type of HF voltage Unmodulated sinusoidal AC voltage Nominal frequency 350 kHz (no load) ±10% Crest factor 1.62 (at RL = 300 Ohm) Designed load resistance 300 Ohm Max. HF peak voltage 1100 V Number of effects 0.1 – 10.0 Consistency of effects Automatic control of arc intensity Max. output across the designed load resistor 400 watts 81 / 158 8 • Monopolar CUT modes Diagrams highCUT 400 350 Eī 10 Eī 9.0 250 Eī 8.0 Power [W] Eī 7.0 Eī 6.0 200 Eī 5.0 Eī 4.0 150 Eī 3.0 Eī 2.0 100 Eī 1.0 Eī 0.1 50 0 100,0 1000,0 Resistance [ohm] Fig. 8-3 highCUT 400 1200 80114-601 03.16 350 1000 300 200 600 150 400 100 200 50 0 0 0 1 2 3 4 5 Eīect Fig. 8-4 82 / 158 6 7 8 9 10 Peak Voltage [V] 800 250 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 300 Power Upmax 8 • Monopolar CUT modes dryCUT® Areas of use Technical data Reproducible, slightly slower cut with pronounced hemostasis. For example, cuts in “open surgery” and cuts in endoscopic operations that require very good primary hemostasis during the cut and require a somewhat slower cutting speed. Type of HF voltage Pulse-modulated sinusoidal AC voltage Nominal frequency 350 kHz (no load) ±10% Crest factor Effect: 0.1 – 4.9: 3.1 (at RL = 300 Ohm) Effect: 5.0 – 7.9: 3.38 (at RL = 300 Ohm) Effect: 8.0 – 10.0: 3.8 (at RL = 300 Ohm) 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Properties Designed load resistance 300 Ohm Max. HF peak voltage 1400 V Number of effects 0.1 – 10.0 Consistency of effects Automatic control of HF peak voltage Max. output across the designed load resistor 240 watts 83 / 158 8 • Monopolar CUT modes Diagrams dryCUT 250 200 Eī 9.0 Eī 8.0 Power [W] 150 Eī 7.0 Eī 6.0 Eī 5.0 100 Eī 4.0 Eī 3.0 Eī 2.0 Eī 1.0 50 Eī 0.1 0 100,0 1000,0 Resistance [ohm] Fig. 8-5 dryCUT 250 1600 80114-601 03.16 1400 200 1000 150 800 100 600 400 50 200 0 0 0 1 2 3 4 5 Eīect Fig. 8-6 84 / 158 6 7 8 9 10 Peak Voltage [V] 1200 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Eī 10 Power Upmax 8 • Monopolar CUT modes Properties The cut consists of alternating cutting and coagulating phases. The cut is easy to control and is characterised by a reproducible, preselectable coagulation property while cutting. Areas of use Endoscopic interventions in which alternating cutting and coagulation with activation is called for. Cutting duration Depending on the size, type and location of lesions, it may be advantageous to vary cutting duration. You can set cutting duration to one of 4 levels. Cutting duration has a major influence on cutting width. Cutting interval The cutting interval is the amount of time between the start of a cutting cycle and the start of the next cutting cycle. The cutting interval thus comprises one cutting cycle and one coagulation cycle. You can set the cutting interval to one of 10 levels. The higher the level, the longer the cutting interval and coagulation cycle. A short cutting interval makes it easier to remove the lesion quickly. A long cutting interval makes it easier to remove the lesion slowly under control. Technical data 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. endoCUT® I Type of HF voltage Unmodulated sinusoidal AC voltage Nominal frequency 350 kHz (no load) ±10% Crest factor Initial incision: 1.54 (at RL = 100 Ohm) Designed load resistance 100 Ohm Max. HF peak voltage 700 V Number of effects 1–4 Consistency of effects Automatic control of HF peak voltage Max. output across the designed load resistor 110 watts 85 / 158 80114-601 03.16 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 8 • Monopolar CUT modes Diagram 100 endoCUT I 90 80 70 60 50 Cuƫng stage max. Power 40 Cuƫng stage min. Power 30 20 10 0 100 Resistance [ohm] 86 / 158 1000 Fig. 8-7 8 • Monopolar CUT modes Properties The cut consists of alternating cutting and coagulating phases. The cut is easy to control and is characterised by a reproducible, preselectable coagulation property while cutting. Areas of use Endoscopic interventions in which alternating cutting and coagulation with activation is called for. Cutting duration Depending on the size, type and location of lesions, it may be advantageous to vary cutting duration. You can set cutting duration to one of 4 levels. Cutting duration has a major influence on cutting width. Cutting interval The cutting interval is the amount of time between the start of a cutting cycle and the start of the next cutting cycle. The cutting interval thus comprises one cutting cycle and one coagulation cycle. You can set the cutting interval to one of 10 levels. The higher the level, the longer the cutting interval and coagulation cycle. A short cutting interval makes it easier to remove the lesion quickly. A long cutting interval makes it easier to remove the lesion slowly under control. Technical data 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. endoCUT® Q Type of HF voltage Unmodulated sinusoidal AC voltage Nominal frequency 350 kHz (no load) ±10% Crest factor Initial incision: 1.63 (at RL = 300 Ohm) Designed load resistance 300 Ohm Max. HF peak voltage 800 V Number of effects 1–4 Consistency of effects Automatic control of HF peak voltage Max. output across the designed load resistor 330 watts 87 / 158 80114-601 03.16 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 8 • Monopolar CUT modes Diagram 300 endoCUT Q 250 200 150 Cuƫng stage max. Power Cuƫng stage min. Power 100 50 0 100 Resistance [ohm] 88 / 158 1000 Fig. 8-8 9 • Monopolar COAG modes softCOAG® Properties Slow, deep coagulation without spark generation, consequently no carbonization of the tissue. Adhesion of the electrode to the tissue is greatly reduced. Areas of use All surgical procedures that call for safe, “deep” coagulation or in which adhesion of the electrode would have a negative effect on the coagulation process. AUTO STOP switchable AUTO STOP ends activation automatically on attainment of sufficient desiccation. Touch the arrow on the lower edge of the main screen if required. The Assign activation type field opens. Drag the AUTO STOP symbol to the docking point of the required instrument. QuickStart switchable 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Chapter 9 Monopolar COAG modes With QuickStart, a brief voltage pulse is applied to the tissue to attain a tissue effect quicker, without essentially influencing the coagulation result. Touch the COAG effect display on the main screen if required. A window opens in which you can switch on QuickStart. Technical data Type of HF voltage Unmodulated sinusoidal AC voltage Nominal frequency 350 kHz (no load) ±10% Crest factor 1.52 (at RL = 25 Ohm) Designed load resistance 25 Ohm Max. HF peak voltage 200 V 450 V QuickStart Number of effects 0.1 – 10.0 Consistency of effects Automatic control of HF peak voltage Max. output across the designed load resistor 240 watts 89 / 158 9 • Monopolar COAG modes Diagrams soŌCOAG 250 Eī 10 Eī 9.0 Eī 8.0 150 Power [W] Eī 7.0 Eī 6.0 Eī 5.0 100 Eī 4.0 Eī 3.0 Eī 2.0 Eī 1.0 50 Eī 0.1 0 10,0 100,0 1000,0 Resistance [ohm] Fig. 9-1 soŌCOAG 250 80114-601 03.16 500 450 200 400 300 150 250 200 100 150 100 50 50 0 0 0 1 2 3 4 5 Eīect Fig. 9-2 90 / 158 6 7 8 9 10 Peak Voltage [V] 350 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 200 Power Power QuickStart Upmax Upmax QuickStart 9 • Monopolar COAG modes forcedCOAG® Areas of use AUTO STOP switchable Effective, fast “standard” coagulation. Contact coagulation, clamp coagulation, e.g. via insulated monopolar forceps. On detection of a spark, adhesion of tissue to the instrument and carbonization is significantly reduced by automatically switching off. Touch the arrow on the lower edge of the main screen if required. The Assign activation type field opens. Drag the AUTO STOP symbol to the docking point of the required instrument. Technical data 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Properties Type of HF voltage Pulse-modulated sinusoidal AC voltage Nominal frequency 350 kHz (no load) ±10% Crest factor 5.8 (at RL = 300 Ohm) Designed load resistance 300 Ohm Max. HF peak voltage 1800 V Number of effects 0.1 – 10.0 Consistency of effects Automatic control of HF peak voltage Max. output across the designed load resistor 144 watts 91 / 158 9 • Monopolar COAG modes Diagrams forcedCOAG 140 Eī 10 100 Eī 9.0 Eī 8.0 Power [W] 80 Eī 7.0 Eī 6.0 Eī 5.0 60 Eī 4.0 Eī 3.0 Eī 2.0 40 Eī 1.0 Eī 0.1 20 0 100 1000 Resistance [ohm] Fig. 9-3 forcedCOAG 140 80114-601 03.16 2000 1800 120 1600 100 1400 1200 80 1000 60 800 600 40 400 20 200 0 0 0 1 2 3 4 5 Eīect Fig. 9-4 92 / 158 6 7 8 9 10 Peak Voltage [V] Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 120 Power Upmax 9 • Monopolar COAG modes swiftCOAG® Areas of use Technical data Fast, effective coagulation, which is highly suitable for preparation with high hemostasis owing to its limited tissue-cutting property. Coagulation and preparation. Type of HF voltage Pulse-modulated sinusoidal AC voltage Nominal frequency 350 kHz (no load) ±10% Crest factor 6.0 (at RL = 200 Ohm) Designed load resistance 200 Ohm Max. HF peak voltage 2500 V Number of effects 0.1 – 10.0 Consistency of effects Automatic control of HF peak voltage Max. output across the designed load resistor 240 watts Diagrams swiŌCOAG 250 80114-601 03.16 200 Eī 10 Eī 9.0 Eī 8.0 150 Eī 7.0 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Properties Eī 6.0 Eī 5.0 100 Eī 4.0 Eī 3.0 Eī 2.0 Eī 1.0 50 Eī 0.1 0 100 1000 Resistance [ohm] Fig. 9-5 93 / 158 80114-601 03.16 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 250 200 150 1500 100 50 0 0 94 / 158 1 2 3 4 5 6 7 8 9 Peak Voltage [V] 9 • Monopolar COAG modes swiŌCOAG 3000 2500 2000 Power 1000 Upmax 500 10 0 Eīect Fig. 9-6 9 • Monopolar COAG modes sprayCOAG® Areas of use Technical data Contact-free, efficient surface coagulation, with low penetration depth. Coagulation of diffuse hemorrhage. Only use insulated monopolar metal forceps for clamp coagulation. Type of HF voltage Pulse-modulated sinusoidal AC voltage Nominal frequency 350 kHz (no load) ±10% Crest factor 7.74 (at RL = 500 Ohm) Designed load resistance 500 Ohm Max. HF peak voltage 4300 V Number of effects 0.1 – 10.0 Consistency of effects Automatic control of HF peak voltage Max. output across the designed load resistor 175 watts Diagrams sprayCOAG 160 80114-601 03.16 140 120 Eī 10 Eī 9.0 100 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Properties Eī 8.0 Eī 7.0 Eī 6.0 80 Eī 5.0 Eī 4.0 60 Eī 3.0 Eī 2.0 40 Eī 1.0 Eī 0.1 20 0 100 1000 Resistance [ohm] Fig. 9-7 95 / 158 80114-601 03.16 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 160 140 100 96 / 158 3000 80 2500 60 2000 20 0 0 1 2 3 4 5 6 7 8 9 Peak Voltage [V] 9 • Monopolar COAG modes sprayCOAG 5000 4500 120 4000 3500 Power Upmax 40 1500 1000 500 10 0 Eīect Fig. 9-8 9 • Monopolar COAG modes preciseSECT Areas of use Technical data Fast, effective coagulation, with limited tissue-cutting property. Optimized preparation characteristics through dynamic adaptation of modulation. Coagulation, clamp coagulation and preparation Type of HF voltage Pulse-modulated sinusoidal AC voltage Nominal frequency 350 kHz (no load) ±10% Crest factor 4.0 (at RL = 300 Ohm) Designed load resistance 300 Ohm Max. HF peak voltage 1800 V Number of effects 0.1 – 10.0 Consistency of effects Automatic control of HF peak voltage Max. output across the designed load resistor 144 watts Diagrams 140 80114-601 03.16 preciseSECT 120 Eī 10 100 Eī 9.0 Eī 8.0 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Properties 80 Eī 7.0 Eī 6.0 Eī 5.0 60 Eī 4.0 Eī 3.0 Eī 2.0 40 Eī 1.0 Eī 0.1 20 0 100,0 1000,0 Resistance [ohm] Fig. 9-9 97 / 158 80114-601 03.16 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 140 100 80 98 / 158 1200 1000 60 800 40 0 0 1 2 3 4 5 6 7 8 9 Peak Voltage [V] 9 • Monopolar COAG modes preciseSECT 2000 120 1800 1600 1400 Power Upmax 600 20 400 200 10 0 Eīect Fig. 9-10 9 • Monopolar COAG modes twinCOAG® Fast, effective coagulation, which is highly suitable for preparation with high hemostasis owing to its limited tissue-cutting property. Two monopolar instruments can be activated at the same time. WARNING! In the twinCOAG mode, the output power of any of the active electrodes can change. Areas of use Technical data Coagulation and preparation with simultaneous activation Type of HF voltage Pulse-modulated sinusoidal AC voltage Nominal frequency 350 kHz (no load) ±10% Crest factor 5.9 (at RL = 150 Ohm) Designed load resistance 150 Ohm Max. HF peak voltage 2000 V Number of effects 0.1 – 10.0 Consistency of effects Automatic control of HF peak voltage Max. output across the designed load resistor 240 watts Diagrams twinCOAG 250 200 Eī 10 Eī 9.0 Eī 8.0 150 Eī 7.0 Power [W] 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Properties Eī 6.0 Eī 5.0 100 Eī 4.0 Eī 3.0 Eī 2.0 Eī 1.0 50 Eī 0.1 0 100 1000 Resistance [ohm] Fig. 9-11 99 / 158 80114-601 03.16 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 250 2500 200 2000 150 1500 100 1000 50 500 0 0 100 / 158 1 2 3 4 5 6 7 8 9 Peak Voltage [V] 9 • Monopolar COAG modes twinCOAG Power Upmax 10 0 Eīect Fig. 9-12 10 • Bipolar CUT modes autoCUT bipolar Properties Areas of use Technical data 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Chapter 10 Bipolar CUT modes Reproducible, smooth cuts, minimal to moderate hemostasis. All cutting procedures in electrically conductive tissue: e.g. muscle tissue and vascular tissue. Dissections and cutting of fine structures. Type of HF voltage Unmodulated sinusoidal AC voltage Nominal frequency 350 kHz (no load) ±10% Crest factor 1.64 (at RL = 300 Ohm) Designed load resistance 300 Ohm Max. HF peak voltage 675 V Number of effects 0.1 – 10.0 Consistency of effects Automatic control of HF peak voltage Max. output across the designed load resistor 120 watts 101 / 158 10 • Bipolar CUT modes Diagrams autoCUT bipolar 120 Eī 10 Eī 9.0 Power [W] 80 Eī 8.0 Eī 7.0 Eī 6.0 60 Eī 5.0 Eī 4.0 Eī 3.0 40 Eī 2.0 Eī 1.0 20 Eī 0.1 0 10,0 100,0 1000,0 Resistance [ohm] Fig. 10-1 autoCUT bipolar 80114-601 03.16 800 120 700 100 600 500 60 400 300 40 200 20 100 0 0 0 1 2 3 4 5 Eīect Fig. 10-2 102 / 158 6 7 8 9 10 Peak Voltage [V] 80 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 100 Power Upmax 10 • Bipolar CUT modes highCUT bipolar PPS (Power Peak System) Reproducible, smooth cuts, low to moderate hemostasis. The highCUT bipolar mode is equipped with PPS. A special problem during incision may be posed by the initial incision phase, in particular when the cutting electrode is pressed firmly against the tissue to be cut, before activation of the HF generator. The cutting electrode therefore has a relatively extensive, low-resistance contact with the tissue, e.g. in TUR. In such cases, the HF generator must offer an above-average output so that the initial incision is not delayed, as otherwise an excessive coagulation necrosis may be produced at the point of initial incision. The VIO 3 is equipped with automatic power control (PPS). PPS detects low resistance loads and controls the HF generator such that it briefly provides sufficient output to ensure the HF voltage necessary or intensity of the electrical arc for the cutting quality selected even with low-resistance loads. Thanks to PPS, the average output can be limited to relatively low levels, something which represents improved protection from unintentional thermal tissue damage. Areas of use Technical data 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Properties Cutting procedures in bipolar resection in NaCl. Type of HF voltage Unmodulated sinusoidal AC voltage Nominal frequency 350 kHz (no load) ±10% Crest factor 1.46 (at RL = 75 Ohm) Designed load resistance 75 Ohm Max. HF peak voltage 725 V Number of effects 1 – 10 Consistency of effects Automatic control of HF peak voltage Max. output across the designed load resistor 400 watts 103 / 158 10 • Bipolar CUT modes Diagrams highCUT bipolar 400 350 Eī 10 Eī 9 Power [W] 250 Eī 8 Eī 7 Eī 6 200 Eī 5 Eī 4 150 Eī 3 Eī 2 100 Eī 1 IniƟal Incision Stage Eī 1-10 50 0 10 100 1000 Resistance [ohm] Fig. 10-3 400 900 350 800 80114-601 03.16 highCUT bipolar 700 300 500 200 400 150 300 100 200 50 100 0 0 0 1 2 3 4 5 Eīect Fig. 10-4 104 / 158 6 7 8 9 10 Peak Voltage [V] 600 250 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 300 Power Upmax 11 • Bipolar COAG modes softCOAG® bipolar Properties Slow, deep coagulation without spark generation, consequently no carbonization of the tissue. Adhesion of the electrode to the tissue is greatly reduced. Areas of use All surgical procedures that call for safe coagulation with bipolar instruments. Coagulation in Bipolar resection. AUTO START switchable When the instrument touches tissue, coagulation starts automatically after a specified period of time. AUTO START is not available with bipolar resection. Touch the arrow on the lower edge of the main screen if required. The Assign activation type field opens. Drag the AUTO START symbol to the docking point of the required instrument. AUTO STOP switchable 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Chapter 11 Bipolar COAG modes AUTO STOP ends activation automatically on attainment of sufficient desiccation. AUTO STOP is not available with bipolar resection. Touch the arrow on the lower edge of the main screen if required. The Assign activation type field opens. Drag the AUTO STOP symbol to the docking point of the required instrument. QuickStart switchable With QuickStart, a brief voltage pulse is applied to the tissue to attain a tissue effect quicker, without essentially influencing the coagulation result. QuickStart is not available with bipolar resection. Touch the COAG effect display on the main screen if required. A window opens in which you can switch on QuickStart. Technical data Type of HF voltage Unmodulated sinusoidal AC voltage Nominal frequency 350 kHz (no load) ±10% Crest factor 1.48 (at RL = 50 Ohm) With bipolar resection: 1.48 (at RL = 25 Ohm) Designed load resistance 50 Ohm With bipolar resection: 25 Ohm Max. HF peak voltage 200 V 450 V QuickStart 105 / 158 11 • Bipolar COAG modes Number of effects 0.1 – 10.0 Consistency of effects Automatic control of HF peak voltage Max. output across the designed load resistor 240 watts Diagrams soŌCOAG bipolar 250 200 Eī 10 Eī 9.0 Eī 8.0 150 Power [W] Eī 7.0 Eī 6.0 Eī 5.0 100 Eī 4.0 Eī 3.0 Eī 2.0 Eī 1.0 50 Eī 0.1 10,0 100,0 80114-601 03.16 0 1000,0 Resistance [ohm] Fig. 11-1 soŌCOAG bipolar 250 500 450 200 400 150 300 250 200 100 150 100 50 50 0 0 0 1 2 3 4 5 Eīect Fig. 11-2 106 / 158 6 7 8 9 10 Peak Voltage [V] 350 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. With bipolar resection: 1 – 10 Power Power QuickStart Upmax Upmax QuickStart 11 • Bipolar COAG modes soŌCOAG bipolar (Bipolar ResecƟon) 250 200 Eī 9 150 Power [W] Eī 8 Eī 7 Eī 6 Eī 5 100 Eī 4 Eī 3 Eī 2 Eī 1 50 0 10,0 100,0 1000,0 Resistance [ohm] Fig. 11-3 soŌCOAG bipolar (Bipolar ResecƟon) 300 80114-601 03.16 250 250 200 150 150 100 Peak Voltage [V] 200 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Eī 10 Power Upmax 100 50 50 0 0 0 1 2 3 4 5 6 7 8 9 10 Eīect Fig. 11-4 107 / 158 11 • Bipolar COAG modes forcedCOAG® bipolar Fast bipolar coagulation. Areas of use All bipolar coagulation procedures in which you want to coagulate vessels fast and effectively or want to replace monopolar forceps coagulation. AUTO START switchable When the instrument touches tissue, coagulation starts automatically after a specified period of time. Touch the arrow on the lower edge of the main screen if required. The Assign activation type field opens. Drag the AUTO START symbol to the docking point of the required instrument. AUTO STOP switchable On detection of a spark, adhesion of tissue to the instrument and carbonization is significantly reduced by automatically switching off. Touch the arrow on the lower edge of the main screen if required. The Assign activation type field opens. Drag the AUTO STOP symbol to the docking point of the required instrument. Technical data 108 / 158 Type of HF voltage Unmodulated sinusoidal AC voltage Nominal frequency 350 kHz (no load) ±10% Crest factor 3.8 (at RL = 100 Ohm) Designed load resistance 100 Ohm Max. HF peak voltage 550 V Number of effects 0.1 – 10.0 Consistency of effects Automatic control of HF peak voltage Max. output across the designed load resistor 144 watts 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Properties 11 • Bipolar COAG modes Diagrams forcedCOAG bipolar 140 100 Eī 10 Power [W] Eī 9.0 Eī 8.0 80 Eī 7.0 Eī 6.0 60 Eī 5.0 Eī 4.0 Eī 3.0 40 Eī 2.0 Eī 1.0 Eī 0.1 20 0 10 100 1000 Resistance [ohm] Fig. 11-5 forcedCOAG bipolar 140 600 120 80114-601 03.16 500 100 80 300 60 Peak Voltage [V] 400 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 120 Power Upmax 200 40 100 20 0 0 0 1 2 3 4 5 6 7 8 9 10 Eīect Fig. 11-6 109 / 158 11 • Bipolar COAG modes thermoSEAL® Special COAG mode to seal vessels up to 7 mm diameter or to coagulate vascularized tissue, without changing the settings. The appropriate Erbe instruments are required to seal vessels up to 7 mm diameter. Operating principle: The mode adapts the HF voltage and activation time to the amount of tissue and the instrument used. Areas of use All surgical procedures that call for sealing vessels and tissue bundles. Only use with vessel sealing instruments (e.g. Erbe BiClamp). AUTO START switchable When the instrument touches tissue, coagulation starts automatically after a specified period of time. Touch the arrow on the lower edge of the main screen if required. The Assign activation type field opens. Drag the AUTO START symbol to the docking point of the required instrument. AUTO STOP The AUTO STOP function is matched to the thermoSEAL mode. If the user grips the tissue with the jaws and presses the branches together firmly, the AUTO STOP function stops the activation automatically as soon as the necessary tissue dessication is achieved. If the user only presses the branches together lightly, e.g. in coagulation of vascularized tissue, no AUTO STOP occurs. In this case, the user ends the activation. Technical data 110 / 158 Type of HF voltage Unmodulated sinusoidal AC voltage Nominal frequency 350 kHz (no load) ±10% Crest factor 1.45 (at RL = 25 Ohm) Designed load resistance 25 Ohm Max. HF peak voltage 200 V Number of effects 1–2 Consistency of effects Automatic control of HF peak voltage Max. output across the designed load resistor 360 watts 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Properties 80114-601 03.16 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 11 • Bipolar COAG modes Diagram thermoSEAL 350 300 250 200 150 Eī 1-2 100 50 0 10 Resistance [ohm] 100 1000 Fig. 11-7 111 / 158 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 11 • Bipolar COAG modes 112 / 158 12 • APC modes (only available with the APC module) forcedAPC Properties Areas of use Technical data 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Chapter 12 APC modes (only available with the APC module) Effective, fast, “standard” argon plasma coagulation with ignition assistance for safe ignition of the plasma. Hemostasis of diffuse areas of bleeding, devitalization and reduction of tissue. Type of HF voltage Pulse-modulated sinusoidal AC voltage Nominal frequency 350 kHz (no load) ±10% Crest factor 7.65 (at RL = 500 Ohm) Designed load resistance 500 Ohm Max. HF peak voltage 4300 V Number of effects 0.1 – 10.0 Consistency of effects Automatic control of HF peak voltage Max. output across the designed load resistor 144 watts 113 / 158 12 • APC modes (only available with the APC module) Diagrams forcedAPC 140 120 Eī 9.0 100 Power [W] Eī 8.0 Eī 7.0 80 Eī 6.0 Eī 5.0 60 Eī 4.0 Eī 3.0 40 Eī 2.0 Eī 1.0 Eī 0.1 20 0 100,0 1000,0 Resistance [ohm] Fig. 12-1 forcedAPC 140 5000 80114-601 03.16 4500 120 4000 100 3500 3000 80 2500 60 2000 1500 40 1000 20 500 0 0 0 1 2 3 4 5 Eīect Fig. 12-2 114 / 158 6 7 8 9 10 Peak Voltage [V] Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Eī 10 Power Upmax 12 • APC modes (only available with the APC module) Properties Fine argon plasma coagulation with well controllable hemostasis at the tissue surface, largely independent of the distance between applicator and tissue. Areas of use Targeted, superficial coagulation for discrete findings in temperature-sensitive areas. Technical data Type of HF voltage Pulse-modulated sinusoidal AC voltage Nominal frequency 350 kHz (no load) ±10% Crest factor 7.76 (at RL = 1000 Ohm) Designed load resistance 1,000 ohms Max. HF peak voltage 4950 V Number of effects 1 – 10 Consistency of effects Automatic control of HF peak voltage Max. output across the designed load resistor 25 watts Diagrams preciseAPC 20 80114-601 03.16 18 16 Eī 10 14 Eī 9 12 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. preciseAPC® Eī 8 Eī 7 10 Eī 6 Eī 5 8 Eī 4 Eī 3 6 Eī 2 Eī 1 4 2 0 100 1000 Resistance [ohm] Fig. 12-3 115 / 158 80114-601 03.16 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 20 16 14 12 10 3000 8 6 4 0 0 116 / 158 1 2 3 4 5 6 7 8 9 Peak Voltage [V] 12 • APC modes (only available with the APC module) preciseAPC 6000 18 5000 4000 Power 2000 Upmax 2 1000 10 0 Eīect Fig. 12-4 12 • APC modes (only available with the APC module) pulsedAPC® Areas of use Technical data Controlled argon plasma coagulation with reduced energy input from pulses. Hemostasis of diffuse areas of bleeding. Devitalization and reduction of tissue with emphasis on controlled power output. Type of HF voltage Pulse-modulated sinusoidal AC voltage Nominal frequency 350 kHz (no load) ±10% Crest factor 7.73 (at RL = 500 Ohm) Designed load resistance 500 Ohm Max. HF peak voltage 4950 V Number of effects 0.1 – 10.0 Consistency of effects Automatic control of HF peak voltage Max. output across the designed load resistor 144 watts Diagrams pulsedAPC 140 80114-601 03.16 120 Eī 10 100 Eī 9.0 Eī 8.0 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Properties Eī 7.0 80 Eī 6.0 Eī 5.0 60 Eī 4.0 Eī 3.0 Eī 2.0 40 Eī 1.0 Eī 0.1 20 0 100 Resistance [ohm] 1000 Fig. 12-5 117 / 158 80114-601 03.16 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 140 100 80 3000 2500 60 2000 40 0 0 118 / 158 1 2 3 4 5 6 7 8 9 Peak Voltage [V] 12 • APC modes (only available with the APC module) pulsedAPC 5000 120 4500 4000 3500 Power Upmax 1500 20 1000 500 10 0 Eīect Fig. 12-6 13 • Argon-supported modes (only available with the APC module) autoCUT Properties PPS (Power Peak System) Reproducible, smooth cuts, minimal to moderate hemostasis. The autoCUT mode is equipped with PPS. A special problem during incision may be posed by the initial incision phase, in particular when the cutting electrode is pressed firmly against the tissue to be cut, before activation of the HF generator. The cutting electrode therefore has a relatively extensive, low-resistance contact with the tissue, e.g. in TUR. In such cases, the HF generator must offer an above-average output so that the initial incision is not delayed, as otherwise an excessive coagulation necrosis may be produced at the point of initial incision. The VIO 3 is equipped with automatic power control (PPS). PPS detects low resistance loads and controls the HF generator such that it briefly provides sufficient output to ensure the HF voltage necessary or intensity of the electrical arc for the cutting quality selected even with low-resistance loads. 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Chapter 13 Argon-supported modes (only available with the APC module) Thanks to PPS, the average output can be limited to relatively low levels, something which represents improved protection from unintentional thermal tissue damage. Areas of use Technical data All cutting procedures in electrically conductive tissue: e.g. muscle tissue and vascular tissue. Dissections and cutting of fine structures. Type of HF voltage Unmodulated sinusoidal AC voltage Nominal frequency 350 kHz (no load) ±10% Crest factor 1.62 (at RL = 300 Ohm) Designed load resistance 300 Ohm Max. HF peak voltage 750 V Number of effects 0.1 – 10.0 Consistency of effects Automatic control of HF peak voltage Max. output across the designed load resistor 400 watts 119 / 158 13 • Argon-supported modes (only available with the APC module) Diagrams autoCUT 400 300 Eī 10 Eī 9.0 Eī 8.0 Power [W] 250 Eī 7.0 Eī 6.0 200 Eī 5.0 Eī 4.0 150 Eī 3.0 Eī 2.0 100 Eī 1.0 Eī 0.1 50 0 100,0 1000,0 Resistance [ohm] Fig. 13-1 800 350 700 300 600 250 500 200 400 150 300 100 200 50 100 0 0 0 1 2 3 4 5 Eīect Fig. 13-2 120 / 158 6 7 8 9 10 Peak Voltage [V] 400 80114-601 03.16 autoCUT Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 350 Power Upmax 13 • Argon-supported modes (only available with the APC module) highCUT PPS (Power Peak System) Reproducible, smooth cuts, in particular in poorly conductive and varying tissue. The highCUT mode is equipped with PPS. A special problem during incision may be posed by the initial incision phase, in particular when the cutting electrode is pressed firmly against the tissue to be cut, before activation of the HF generator. The cutting electrode therefore has a relatively extensive, low-resistance contact with the tissue, e.g. in TUR. In such cases, the HF generator must offer an above-average output so that the initial incision is not delayed, as otherwise an excessive coagulation necrosis may be produced at the point of initial incision. The VIO 3 is equipped with automatic power control (PPS). PPS detects low resistance loads and controls the HF generator such that it briefly provides sufficient output to ensure the HF voltage necessary or intensity of the electrical arc for the cutting quality selected even with low-resistance loads. Thanks to PPS, the average output can be limited to relatively low levels, something which represents improved protection from unintentional thermal tissue damage. Areas of use Technical data 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Properties For example, for cutting fat-containing structures, cutting under water, e.g. with TURP. Type of HF voltage Unmodulated sinusoidal AC voltage Nominal frequency 350 kHz (no load) ±10% Crest factor 1.62 (at RL = 300 Ohm) Designed load resistance 300 Ohm Max. HF peak voltage 1100 V Number of effects 0.1 – 10.0 Consistency of effects Automatic control of arc intensity Max. output across the designed load resistor 400 watts 121 / 158 13 • Argon-supported modes (only available with the APC module) Diagrams highCUT 400 350 Eī 10 Eī 9.0 250 Eī 8.0 Power [W] Eī 7.0 Eī 6.0 200 Eī 5.0 Eī 4.0 150 Eī 3.0 Eī 2.0 100 Eī 1.0 Eī 0.1 50 0 100,0 1000,0 Resistance [ohm] Fig. 13-3 highCUT 400 1200 80114-601 03.16 350 1000 300 200 600 150 400 100 200 50 0 0 0 1 2 3 4 5 Eīect Fig. 13-4 122 / 158 6 7 8 9 10 Peak Voltage [V] 800 250 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 300 Power Upmax 13 • Argon-supported modes (only available with the APC module) dryCUT® Areas of use Technical data Reproducible, slightly slower cut with pronounced hemostasis. For example, cuts in “open surgery” and cuts in endoscopic operations that require very good primary hemostasis during the cut and require a somewhat slower cutting speed. Type of HF voltage Pulse-modulated sinusoidal AC voltage Nominal frequency 350 kHz (no load) ±10% Crest factor Effect: 0.1 – 4.9: 3.1 (at RL = 300 Ohm) Effect: 5.0 – 7.9: 3.38 (at RL = 300 Ohm) Effect: 8.0 – 10.0: 3.8 (at RL = 300 Ohm) 80114-601 03.16 Designed load resistance 300 Ohm Max. HF peak voltage 1400 V Number of effects 0.1 – 10.0 Consistency of effects Automatic control of HF peak voltage Max. output across the designed load resistor 240 watts Diagrams dryCUT 250 200 Eī 10 Eī 9.0 Eī 8.0 150 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Properties Eī 7.0 Eī 6.0 Eī 5.0 100 Eī 4.0 Eī 3.0 Eī 2.0 Eī 1.0 50 Eī 0.1 0 100,0 1000,0 Resistance [ohm] Fig. 13-5 123 / 158 80114-601 03.16 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 250 150 1000 800 100 600 0 0 124 / 158 1 2 3 4 5 6 7 8 9 Peak Voltage [V] 13 • Argon-supported modes (only available with the APC module) dryCUT 1600 1400 200 1200 Power Upmax 50 400 200 10 0 Eīect Fig. 13-6 13 • Argon-supported modes (only available with the APC module) Properties Slow, deep coagulation without spark generation, consequently no carbonization of the tissue. Adhesion of the electrode to the tissue is greatly reduced. Areas of use All surgical procedures that call for safe, “deep” coagulation or in which adhesion of the electrode would have a negative effect on the coagulation process. AUTO STOP switchable AUTO STOP ends activation automatically on attainment of sufficient desiccation. Touch the arrow on the lower edge of the main screen if required. The Assign activation type field opens. Drag the AUTO STOP symbol to the docking point of the required instrument. QuickStart switchable Technical data 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. softCOAG® With QuickStart, a brief voltage pulse is applied to the tissue to attain a tissue effect quicker, without essentially influencing the coagulation result. Type of HF voltage Unmodulated sinusoidal AC voltage Nominal frequency 350 kHz (no load) ±10% Crest factor 1.52 (at RL = 25 Ohm) Designed load resistance 25 Ohm Max. HF peak voltage 200 V 450 V QuickStart Number of effects 0.1 – 10.0 Consistency of effects Automatic control of HF peak voltage Max. output across the designed load resistor 240 watts 125 / 158 13 • Argon-supported modes (only available with the APC module) Diagrams soŌCOAG 250 Eī 10 Eī 9.0 Eī 8.0 150 Power [W] Eī 7.0 Eī 6.0 Eī 5.0 100 Eī 4.0 Eī 3.0 Eī 2.0 Eī 1.0 50 Eī 0.1 0 10,0 100,0 1000,0 Resistance [ohm] Fig. 13-7 soŌCOAG 250 80114-601 03.16 500 450 200 400 300 150 250 200 100 150 100 50 50 0 0 0 1 2 3 4 5 Eīect Fig. 13-8 126 / 158 6 7 8 9 10 Peak Voltage [V] 350 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 200 Power Power QuickStart Upmax Upmax QuickStart 13 • Argon-supported modes (only available with the APC module) forcedCOAG® Areas of use AUTO STOP switchable Effective, fast “standard” coagulation. Contact coagulation, clamp coagulation, e.g. via insulated monopolar forceps. On detection of a spark, adhesion of tissue to the instrument and carbonization is significantly reduced by automatically switching off. Touch the arrow on the lower edge of the main screen if required. The Assign activation type field opens. Drag the AUTO STOP symbol to the docking point of the required instrument. Technical data 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Properties Type of HF voltage Pulse-modulated sinusoidal AC voltage Nominal frequency 350 kHz (no load) ±10% Crest factor 5.8 (at RL = 300 Ohm) Designed load resistance 300 Ohm Max. HF peak voltage 1800 V Number of effects 0.1 – 10.0 Consistency of effects Automatic control of HF peak voltage Max. output across the designed load resistor 144 watts 127 / 158 13 • Argon-supported modes (only available with the APC module) Diagrams forcedCOAG 140 Eī 10 100 Eī 9.0 Eī 8.0 Power [W] 80 Eī 7.0 Eī 6.0 Eī 5.0 60 Eī 4.0 Eī 3.0 Eī 2.0 40 Eī 1.0 Eī 0.1 20 0 100 1000 Resistance [ohm] Fig. 13-9 forcedCOAG 140 80114-601 03.16 2000 1800 120 1600 100 1400 1200 80 1000 60 800 600 40 400 20 200 0 0 0 1 2 3 4 5 Eīect Fig. 13-10 128 / 158 6 7 8 9 10 Peak Voltage [V] Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 120 Power Upmax 13 • Argon-supported modes (only available with the APC module) swiftCOAG® Areas of use Technical data Fast, effective coagulation, which is highly suitable for preparation with high hemostasis owing to its limited tissue-cutting property. Coagulation and preparation. Type of HF voltage Pulse-modulated sinusoidal AC voltage Nominal frequency 350 kHz (no load) ±10% Crest factor 6.0 (at RL = 200 Ohm) Designed load resistance 200 Ohm Max. HF peak voltage 2500 V Number of effects 0.1 – 10.0 Consistency of effects Automatic control of HF peak voltage Max. output across the designed load resistor 240 watts Diagrams swiŌCOAG 250 80114-601 03.16 200 Eī 10 Eī 9.0 Eī 8.0 150 Eī 7.0 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Properties Eī 6.0 Eī 5.0 100 Eī 4.0 Eī 3.0 Eī 2.0 Eī 1.0 50 Eī 0.1 0 100 1000 Resistance [ohm] Fig. 13-11 129 / 158 80114-601 03.16 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 250 200 150 1500 100 50 0 0 130 / 158 1 2 3 4 5 6 7 8 9 Peak Voltage [V] 13 • Argon-supported modes (only available with the APC module) swiŌCOAG 3000 2500 2000 Power 1000 Upmax 500 10 0 Eīect Fig. 13-12 13 • Argon-supported modes (only available with the APC module) preciseSECT Areas of use Technical data Fast, effective coagulation, with limited tissue-cutting property. Optimized preparation characteristics through dynamic adaptation of modulation. Coagulation, clamp coagulation and preparation Type of HF voltage Pulse-modulated sinusoidal AC voltage Nominal frequency 350 kHz (no load) ±10% Crest factor 4.0 (at RL = 300 Ohm) Designed load resistance 300 Ohm Max. HF peak voltage 1800 V Number of effects 0.1 – 10.0 Consistency of effects Automatic control of HF peak voltage Max. output across the designed load resistor 144 watts Diagrams 140 80114-601 03.16 preciseSECT 120 Eī 10 100 Eī 9.0 Eī 8.0 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Properties 80 Eī 7.0 Eī 6.0 Eī 5.0 60 Eī 4.0 Eī 3.0 Eī 2.0 40 Eī 1.0 Eī 0.1 20 0 100,0 1000,0 Resistance [ohm] Fig. 13-13 131 / 158 80114-601 03.16 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 140 100 80 1200 1000 60 800 40 0 0 132 / 158 1 2 3 4 5 6 7 8 9 Peak Voltage [V] 13 • Argon-supported modes (only available with the APC module) preciseSECT 2000 120 1800 1600 1400 Power Upmax 600 20 400 200 10 0 Eīect Fig. 13-14 13 • Argon-supported modes (only available with the APC module) twinCOAG® Fast, effective coagulation, which is highly suitable for preparation with high hemostasis owing to its limited tissue-cutting property. Two monopolar instruments can be activated at the same time. WARNING! In the twinCOAG mode, the output power of any of the active electrodes can change. Areas of use Technical data Coagulation and preparation with simultaneous activation Type of HF voltage Pulse-modulated sinusoidal AC voltage Nominal frequency 350 kHz (no load) ±10% Crest factor 5.9 (at RL = 150 Ohm) Designed load resistance 150 Ohm Max. HF peak voltage 2000 V Number of effects 0.1 – 10.0 Consistency of effects Automatic control of HF peak voltage Max. output across the designed load resistor 240 watts Diagrams twinCOAG 250 200 Eī 10 Eī 9.0 Eī 8.0 150 Eī 7.0 Power [W] 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Properties Eī 6.0 Eī 5.0 100 Eī 4.0 Eī 3.0 Eī 2.0 Eī 1.0 50 Eī 0.1 0 100 1000 Resistance [ohm] Fig. 13-15 133 / 158 80114-601 03.16 Power [W] Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. 250 2500 200 2000 150 1500 100 1000 50 500 0 0 134 / 158 1 2 3 4 5 6 7 8 9 Peak Voltage [V] 13 • Argon-supported modes (only available with the APC module) twinCOAG Power Upmax 10 0 Eīect Fig. 13-16 14 • Installation Ambient conditions WARNING Ignition of anesthetics, skin cleansers, and disinfectants in potentially explosive atmospheres If you place the device in a potentially explosive atmosphere, anesthetics, skin cleansers, and disinfectants can ignite. Risk of fire and explosion to the patient and medical personnel! Risk of damage to property. Do not place the device in potentially explosive atmospheres. NOTICE Interference with the unit by portable and mobile HF communication devices (e.g. mobile phones, WLAN equipment) Electromagnetic waves emitted by portable and mobile HF communication devices can effect the unit. The unit may fail or not perform properly. 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. Chapter 14 Installation Please see the table "Recommended separation distances between portable and mobile HF communications equipment and the equipment" at the end of this User Manual. NOTICE Unsuitable temperature or level of humidity during operation If you operate the equipment at an unsuitable temperature or level of humidity, it may sustain damage, fail, or not perform properly. Operate the equipment at a suitable temperature and level of humidity. You will find the tolerances for temperature and humidity in the Technical Data. If other ambient conditions must be observed for operation of the equipment, you will also find them in the Technical Data. NOTICE Unsuitable temperature or humidity in transit or storage If you transport or store the equipment at an unsuitable temperature or level of humidity, it may sustain damage and fail. Transport and store the equipment at a suitable temperature and level of humidity. You will find the tolerances for temperature and humidity in the Technical Data. If other ambient conditions must be observed for transport and storage of the equipment, you will also find them in the Technical Data. 135 / 158 14 • Installation NOTICE Insufficient acclimatization time, unsuitable temperature during acclimatization If the device was stored or transported below or above a certain temperature, it will take a certain time and temperature to acclimatize. Acclimatize the device according to the rules in the Technical Data. NOTICE Overheating of the device due to poor ventilation If ventilation is poor, the device can overheat, sustain damage, and fail. Install the device in such a way that there is an unobstructed circulation of air around the housing. Installation in confined wall recesses is prohibited. NOTICE Penetration of liquid into the device The housing is not absolutely watertight. If liquid penetrates, the device can sustain damage and fail. Make sure no liquid can penetrate the device. Do not place vessels containing liquids on top of the device. 80114-601 03.16 Dok.-Nr: D110127-EN, Ver.: 000, ÄM-Nr: 16446, Gültig ab: 10.05.16, Gedruckt: MZECEVIC/02.06.16, Ausdruck nicht maßstäblich und kein Original. If you do not observe the rules, the device can sustain damage and fail. Electrical installation WARNING Defective grounded power outlet, power supply network without proper grounding, inferior-quality power cord, incorrect line voltage, multiple power outlets, extension cords Risk of electric shock and other injuries to the patient and medical personnel! Risk of damage to property. Connect the unit / the equipment cart to a properly installed grounded power outlet. Only connect the unit to a power supply network with proper grounding. Only use the Erbe power cord or an equivalent power cord for this purpose. The power cord must bear the applicable national test symbol. Check the power cord for damage. You must not use a damaged power cord. The supply voltage must match the voltage specified on the unit's rating plate. Do not use multiple power outlets. Do not use extension cords. 136 / 158